Timothy Kelly Colgan, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

G2674 Issued in TX

Practice address

755 N 11TH St Ste P2280
Beaumont, TX 77702-1525

Phone

(409) 236-4900

Fax

(409) 236-4901

NPI assigned

Jul 7, 2005

Last updated

Jan 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

University of Wisconsin School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
• Tyler County Hospital Hospital, Woodville, TX, CCN 450460
• Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573
• University of Texas M D Anderson Cancer Center Hospital, Houston, TX, CCN 450076

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tcolgan410794@christushealth.direct-ci.net
• Direct secure messaging: tcolgan7432@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• Physicians Cardiovascular Diagnostic Center, L.L.P.

  dba Cardiovascular Diagnostic Center

  • Radiology Clinic/Center
  • Beaumont, TX
  • NPI 1245233501
  NPD (past)
• Trinity Clinic

  dba Trinity Clinic Family Practice

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1922058304
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Hospitals of Southeast Texas

  dba Baptist Beaumont Hospital

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation
• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - Jasper Memorial

  • Rural Acute Care Hospital
  • Jasper, TX
  • NPI 1598749707
  Care Compare affiliation
• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - St. Elizabeth

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation
• Tyler County Hospital District

  • General Acute Care Hospital
  • Woodville, TX
  • NPI 1447259627
  Care Compare affiliation
• University of Texas M. D. Anderson Cancer Center

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1174582050
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1730186610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4356 DEPT 2234",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104356",
            "telephone_number": "409-236-4900",
            "fax_number": "409-236-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST STE P2280",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021525",
            "telephone_number": "409-236-4900",
            "fax_number": "409-236-4901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 North St Ste 312",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777021434",
            "country_code": "US",
            "telephone_number": "409-236-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLGAN",
        "first_name": "TIMOTHY",
        "middle_name": "KELLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G2674",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "MD2016-0640",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "G2674",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NM",
            "license": "MD2016-0640",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "G2674",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080142501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115955005",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Lynn Cole
• Alan B Coleman, D.D.S.
• Alison Coleman, DNP, APRN, NP-C
• Leah Coleman, CST/CSFA
• Lindsay Coleman, FNP-C
• College Street Medical Group, P.L.L.C.
• Jamie Lea Collins
• Weldon Edward Collins, M.D.
• Donald Colwell, D.C.
• Comfort Lane Transit LLC

• Interventional Cardiology Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Interventional Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.